There's no faster way to apply for a New Jersey
Repossession Title! Fill out the form below and your repossession application
will be submitted to the New Jersey Title Bureau today.

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Lienholder Information

Name

Address

Zip Code

City

State

County

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Vehicle Description

VIN

Year

Make

Body Type

Doors

Type of Power

Cylinders

Unladen Weight

Color

Odometer Reading
(in miles)

Mileage Brand

Vehicle's ODOMETERhas room for how many numbers?

For Other Vehicles

For trailers and commercial vehicles MAX Gross Weight

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Borrower Information

Name

Address

Zip Code

City

State

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State Last Registered

State Last Titled

described was repossessed in on

The borrower was in default of a security contract dated:

Proper notice has been given to the following parties:
(list names and addresses)

Police Agency

Date Notified

Commissioner of Motor Vehicles(district office)

Date Notified

Owner(other than lienholder)

Date Notified

Other (Co-Buyer)

Date Notified

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Under the penalties of perjury, I affirm that I have complied with
Section 425(1) of the New York State Vehicle and Traffic Law and/or any
applicable laws in the state where the vehicle was repossessed, pertaining
to the repossession of the vehicle described above. I further affirm that,
if there are any other open perfected liens on the vehicle, and a lien release
is not obtained, I have advised the purchaser of the outstanding liens on the vehicle.

I certify that, to the best of my knowledge, the mileage of the above-disclosed
vehicle's odometer reading: (Select One)
Reflects the "ACTUAL MILEAGE""EXCEEDS MECHANICAL LIMITS"is "NOT THE ACTUAL MILEAGE. WARNING: ODOMETER DISCREPANCY"

DAMAGE DISCLOSURE STATEMENT
I certify that, to the best of my knowledge, this vehicle:has been has not been

wrecked, destroyed or damaged to such an extent that the total estimate, or actual
cost, of parts and labor to rebuild or reconstruct the vehicle to the condition
it was in before an accident, and for legal operation on the road or highways, is
more than 75% of the retail value of the vehicle at the time of the loss. (Checking
the "has been" box means the vehicle must have an anti-theft examination
before being registered, and that the title issued will have the statement "Rebuilt
Salvage: NY" on it.)

Reference Number

Name of person submitting form

Daytime Phone

Email Address

For each vehicle, please forward Maggard the following:

Certificate of Title

The original or an acceptable copy of the contract / purchase agreement which is the basis of the right to
repossess

The original or an acceptable copy of the notice of repossession and intent to sell delivered in person to
the debtor, or sent by registered or certified mail to the last known address of the debtor. If sent by certified
mail, the receipt or an acceptable copy must be attached.
The notice:

shall set forth the debtor's rights as to reinstatement of the contract, if the lienholder extends the privilege of reinstatement and redemption of the motor vehicle;

shall contain an itemized statement of the total amount required to redeem the motor vehicle by reinstatement or payment of the contract in full;

shall give notice to the buyer of the lienholder's intent to resell the motor vehicle at the expiration of 15 days from the date of mailing the notice;

shall disclose the place at which the motor vehicle is stored; and

shall designate the name and address of the person to whom the buyer shall make payment or upon whom he may serve notice

A copy of the certified mail envelope showing name/address and postage date of the letter of repossession

Bill of sale showing the date of sale, name of purchaser, make and VIN of the vehicle, if the purchaser is not the lienholder